rma1965

this is what we supposed to do because how she explained it to us the first time it was confusing as to what she wanted she wants us to build a SOAPIE charting for this situation i have never used that format or know how to am new to this ! 78 year old patient medical diagnosis aspiration pneumonia. on severe distress abdominal lung sound and plenty secretions accumulation. T 39.8,P105, R32/min, BP 150/90. Family say patient been in bed rest six months ago as result of CVA. he present reddened area in sacrum and ankles. physician orders D/NS .45 % KVO Cipro 500mg IV q 12 hours AMinophylline 175mg in D?W5% 50 ml q6hrs to run in 3o min Solucortef 100mg IV q 8hrs O2 via nasal canula at 3l,min PRN suction NPO during 24 hours then liquid diet through NG/tube Vital signs q4hrs I&O q 4 hrs Antipiretic meaures PRN

Does D/NS .45% KVO mean for a patient with pneumonia aspiration and been in bed rest since 6 months ago cause of cva.there is a reddened area in sacrum and ankles. How does that benefit the patient they having severe distress abnormal lung sounds and plenty secretions accumulation? Shouldnt more be done for the patient like administering cipro 500 ,mg iv q12 hours , prn suction, I&O q4, ntipiretic measures PRN vital sign taken q4 since current vitals are T 39.8,P105,R32/min,BP 150/90. What other indications and assessment can be done?